Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Recanalization of Portal Vein Graft Occlusion via a Percutaneous Transmesenteric Approach: A Case Report

간문맥 이식편 폐색증에서 경피적 장간막 경유 접근 방법을 통한 혈관 내 재개통 시술: 증례 보고

  • Min-Hyuk Yu (Department of Radiology Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Dong-Ho Hyun (Department of Radiology Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Shin-Seok Yang (Department of Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 유민혁 (성균관대학교 의과대학 삼성서울병원 영상의학과) ;
  • 현동호 (성균관대학교 의과대학 삼성서울병원 영상의학과) ;
  • 양신석 (성균관대학교 의과대학 삼성서울병원 외과)
  • Received : 2023.04.24
  • Accepted : 2023.07.11
  • Published : 2024.01.01
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Abstract

Interventional recanalization is an effective treatment option for postoperative portal vein occlusion. A transhepatic or transsplenic approach is preferred, whereas a percutaneous transmesenteric route enables antegrade cannulation. Here, we present a case of successful percutaneous transmesenteric recanalization in a patient with a postoperative portal vein graft occlusion.

혈관 내 재개통 인터벤션은 수술 후 정맥폐색에 있어 효과적인 치료 방법 중 하나이다. 간경유 또는 비장경유를 통한 접근을 흔히 시도하지만, 경피적 장간막 경유 접근 방법은 전향적인 접근이 가능한 장점이 있다. 본 증례는 수술 후 간문맥 이식편 폐색 환자에서 경피적 장간막 경유 접근법으로 성공적인 혈관 내 재개통을 보여준다.

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References

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